spacer180px curvedtop spacer50px

 



 

Southern Growth Policies Board's
2012 Chairman's Conference:
Re-imagining Workforce Development

June 25-26, 2012
The Chattanoogan Hotel & Conference Center
Chattanooga, Tennessee

 

Step One: Your Information
Fill out the information below then proceed to Step Two: Process Your Payment.


First Name*
Last Name*
Name Preferred
on Badge*

Corporate Title:
Dept./Division
of Company:
Company/
Organization:*

Mailing Address:*
City:* State:* Zip:* -
Phone*
 ( - 		FAX
( ) - 		E-Mail*
Web Site Address:
Spouse/Guest name†
Meal Functions and Preferences Attendee Spouse/Guest
I would like vegetarian meals only* Yes      No
Yes   No
N/A
I will attend the Reception Event on June 25th * Yes     
Yes   No N/A
May we share your e-mail address with other attendees,
exhibitors and sponsors?* 		Yes      No  
Would you like to receive Southern Compass eNews?* Yes      No

Registraton Fees
(be sure to select your membership level and enter your total fees)* 		After
May 11th
Members
SGPB Board of Directors $400
Advisory Council Member
SGPB Associate Member
Non-Members
Government/Nonprofit $450
Corporate/Individual $500
Other
I will be bringing a Spouse/Guest to the conference*
(meals & social functions only)
$185
 
How did you hear about the conference? (Check all that apply)
Direct e-Mail     Southern Compass eNews     Twitter  
  LinkedIn     Colleague     Facebook      Other
Credit Card
Check
Cancellation Policy: Refunds may be requested in writing by June 1, 2012, and are subject to a $75 cancellation fee. No cancellations will be honored after June 1st. Any registrant who does not submit cancellation correspondence by June 1st, and does not attend the conference is required to pay full registration. Refunds requested in writing within 72 hours of registration are entitled to a full refund. Substitutions may be made at any time without penalty. Authorized refunds are processed after the event. Southern Growth reserves the right to modify this policy.

*Fields must be filled out.

CLICK BELOW TO PROCESS PART ONE OF YOUR REGISTRATION.
NOTE: All payment information will be collected on Virtual Merchant's Secure Site.

 

BEFORE PROCEEDING, PLEASE READ THESE IMPORTANT DETAILS ABOUT PROCESSING YOUR REGISTRATION
(Clicking SUBMIT more than once may result in double submissions.) Within a few minutes to a few hours you should receive an email containing all the information you filled out on this page.

If you do not receive this email your registration has not processed properly. Please contact Connie Hansen immediately.

Privacy Policy: We collect data that you volunteer when filling out our on-line registration forms and online publication order forms. The purpose of this data is to facilitate planning of meetings and for mailing important information concerning meetings or for processing publication orders. Your information is saved locally and will not be collected in any database on southern.org or our other sites. Your name and information will never be sold, shared, or traded to any other organization for any reason. For our complete privacy policy go to https://www.southerngrowth.com/about/privacypolicy.html.

Questions about the Conference or your Registration? Contact Paula Baker, Southern Growth Policies Board. 

Technical Problems with Form? Contact Connie Hansen, Southern Growth Policies Board.

 
Find us on:





Southern Growth Policies Board, P.O. Box 12293, Research Triangle Park, NC 27709
Phone: (919) 941-5145, Fax: (919) 941-5594, Email: info@southern.org